各職類建議報告 - mohw.gov.tw · pdf file347 壹、前言/摘要 截至2011...
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347
/
2011 224,493
13 3082 6
(Jones, Kettles, & Spurrier, 2009)
(Hall, Doran, Bakec, Pink, Sidani, OBrien-Pallas, & Donner, 2001)
1:10
(2010)
2-2.5 ()
(2008)
4-5 7 5~13
4-6 7 6~18
8-10 7 7~20
79 20
348
()
()
(C)
()
349
(C)
(
)
1.
2.
350
() 13,550 /
71.3% 41.22%98
44.59%
60.5%
()
1. 6 2-3
2. 70
6
30%
() 224,493 133,082
108,433 24,649 59.28%(
100.01.01)
() 70.2%16.0%()
87,732 70.2%
20,043 16.0%
17,163 13.8%
124,938 100%
() 5,775
2,561 44.3%
3,214 55.7%()
351
NP NP
31,299 1,103 553 1,656
47,198 1,217 2,274 3,491
34,592 172 387 559
16 16
NP 53 53
2,561 3,214 5,775
44.3 55.7 100
() 13,550
91,411 104,961
100 7
()
C ()
352
C
4 1 2 1 2.5 1 4 1
1.5 2.5 2 1.5
1.5 1.5 1.5 1.5
2 2.5 2 2
1 0.5 0.5 1
2 2 1.2 2
0.25
4 1 4 1 0.25
0.4 0.4 0.4 0.4
1.5 1.5 1.5 1.5
0.5
0.5 0.5 0.5
()
2010
2~4.1 //>12
3.6 //
()
(2008)
(2002) 2012
2001 87,234 119,268
140,899 172,578 2001
353
94,443 123,126 150,410 163,002
2001
80102,684 122,693 164,219
211,219 2000 8960 2012
164,423
(2005)
(C)96-98 423
>500 2 ()250~499
1 ( 249 24
27 (6.38%) C C)
()
() 2010 8 1111
1,072 ) 8 18
()
61.2
49.63%/46.64%25.19%
57.46%55.78%
31.34% 99 8 5 99 8 16
1,072 95%
2.99% Positive Practice
Environment, PPE57.46%
45.71%44.78%
17.9%
50.75%44.78%
25.37%57.28%24.25%
354
/16.79%9.51%
39.44%35.03%(
2010)
57.46
55.78
31.34
57.46
45.71
44.78
50.75
44.78
25.37
39.44
35.03
(2010)
1111
2010 7 45.14%
()
355
1994
1:4 1:1.5 2 1:1
1:2.4 1:1.5 2 1:1
1:3.2 1:1.5 2 1:1(
2010)
(C)
1:2 1:0.4 2.5 0.5
1:2.5 1:0.5 2
0.5 1:4 1:0.67 2
1:1(2010)(C)
2.9 2.3 1.4
(2010)
()
(2010)
356
4-12%(Needleman, Buerhaus, Mattke, Stewart, &
Zelevinsky(2002) 1% 0.3-0.7%(ANA, 2000)
Aiken, Clarke, Sloane, Sochalski, & Silber(2002)Rafferty,
Clarke, Coles, Ball, James, McKee, et al.(2006) 3,980
118,752
12.4-14.3 6.9-8.3 26%
29%Dunton, Gajewski, Taunton, &
Moore(2004) Potter, Barr, McSweeney, & Sledge(2003)
Tallier(2003)
1 0.29%
Unruh(2003) 10% 2%
(2009)
1% 2.29%
10.83% 16.69% 3.44%
9.67% 9.98% 2.83%
12.10% 17.77%() 1%
11.62% 12.48% 24.71%
19.81% 17.27% 9.80%
5.02% 26.55% 26.52%
4.57%()
100 1
() % () %
17.77 9.67
16.69 3.44
12.10 () 2.83
10.83 2.29
9.98
357
1%
() % () %
26.52 17.27
24.71 19.81
26.55 () 5.02
12.48 11.62
9.80 4.57
(2009)
11
5.58
5.14 2.95 2.91 2.74
1.62 1.6 ()
11 7
5.58 2.74
5.14 1.62
2.95 1.6
2.91
(2012)
0.1 0.6% 7.2%
0.5 3.1% 31.5%()
0.1 0.2 0.3 0.4 0.5
-0.6% -1.2% -1.8% -2.4% -3.1%
-7.2% -13.9% -20.3% -26.0% -31.5%
358
(2009)
()
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
( 20072009)
()
()
359
360
(Jones, Kettles, & Spurrier, 2009)Aiken, Clarke, Sloane,
Sochalski, & Silber(2002) 10,184 232,342
4 5
30 7% 6 14%
8 31%
2001
()
1:4 1:8 1:4 1:5 1:8 1:5
1:6 1:10 1:5 2006
1:7(2009)
14 14 15
14 15 16
18 18 110
Pfefferkorn Rovetta 12
3.2
52 5 8 Upenieks, Esser, Akhavan, Ngo, &
Kotlerman (2007) PDA 10~15 (2
361
telemetry units 1 13 14) 2
67%(Registered Nurse, RN) 33%(Nurses Aides; Care
Partner)(Medical -Surgical Unit) 7.11 //
1999 2004 1
()
15 14 12 16 11 17 18 16
(AHA; America hospital association)
6,299
5.32 LPN ;Licensed Practical
Nurse 6.63
(Oregon) 7.47
()
(//)
RN RN+LPN
AZ 91 7.27 9.67
OR 68 7.47 8.14
NV 32 6.05 7.31
CO 83 6.13 7.02
CA 488 5.91 7.02
ID 47 5.10 6.50
USA 6,299 5.32 6.63
362
(
)
2010 12 458 201
43.89%()
0.52 2.64
0.49 2.57
0.72 3.71
2.51 12.66
2.50 11.94 2.21
10.78
()
%
19 17 89.47
85 43 50.59
354 141 39.83
458 201 43.89
363
(n=17) (n=43) (n=141)
()
()
()
0.52 2.64 0.49 2.57 0.72 3.71
0.58 3.03 0.62 3.31 0.72 2.55
0.56 2.86 0.46 2.19 0.28 1.56
2.51 12.66 2.5 11.94 2.21 10.78
3.00 13.62 3.51 10.38 - -
0.81 4.63 1.00 7.36 0.87 4.37
NBC 1.21 6.11 1.42 6.67 2.26 6.47
(RCC) 1.83 10.02 1.63 7.87 1.05 5.64
(RCW) 0.73 3.29 0.72 3.17 0.45 2.65
**
37,200 40,370 31,200 34,200 54,780 58,880
35,250 37,560 30,950 34,510 45,370 52,640
29,760 32,270 29,130 32,680 42,470 49,050
364
()
3 1 2 1.5
1 2.5
() 2 4 1
0.4 1 4 1
1 1
1.5 4 1
1 3 1
0.7 10 1
()
() 0.60
3.2 2.63 14.0
0.68 3.6
2.95 15.8
() 0.56
3.0 2.44 13.0
0.64 3.4
2.74 14.6
() 0.47
2.5 2.06 11.0
0.53 2.8
2.32 12.4
40 100% 240
()
365
()
0.5 1
(2010)
34,965
87,732 52767
()
(2010)
3.23.02.5 //
3.63.42.8 // 141311 //
15.814.612.4 //=(
365)/(240)
2,617 4,828
1,908 3,943 816
1671 5,341
366
10,442 ()
()
*=
x1.5x12 4 3.8 3.2
18.8 34.8
13.1 27.0
4.7 9.6
36.6 71.4 (
)
4 1 3 1
1.5 2
1.5 1.5
1 1
2 2.5
2 () 2
0.25 4 1
0.4 0.4
1.5 -
0.5 1
- 4 1
- 1
- 1
- 1.5
- 4 1
- 1
5 1 3 1
- 0.7
15 1 10 1
20 1 18 1
367
0.52 2.64 2.51 12.66
0.60 3.2 2.63 14.0
0.68 3.6 2.95 15.8
0.49 2.57 2.50 11.94
0.56 3.0 2.44 13.0
0.64 3.4 2.74 14.6
0.72 3.71 2.21 10.78
0.47 2.5 2.06 11.0
0.53 2.8 2.32 12.4
**
(C) 40
0.5 2.7 20 14
7 6
4 10
3 13
0.4 2.1 16 11
5 8
3 13
3 13